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Volume 357:827-829 August 23, 2007 Number 8
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Mechanisms of Hypertension

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 by Adrogué, H. J.
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To the Editor: In their review of the roles of sodium and potassium in the pathogenesis of hypertension, Adrogué and Madias (May 10 issue)1 appropriately emphasize the central roles of an excess of sodium, the expansion of extracellular fluid volume, the release of digitalis-like factor, a potassium deficit, and Na+/K+–ATPase inhibition. Digitalis-like factor is found mainly in the low-renin, volume-expanded types of hypertension. Recent studies suggest that ouabain is not the only Na+/K+–ATPase inhibitor in hypertension; marinobufagenin, a member of the bufadienolide family, is also often present and participates in the pathogenesis of sodium-induced hypertension.2


Francis . . . [Full Text of this Article]




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